DOMINIQUE WILSON

GOODYEAR, AZ
NPI1518567874
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy176B00000X Midwife
(Licence: AZ  250020)
Additional Taxonomies176B00000X Midwife
Enumeration Date2020-10-27
Last Update Date2024-03-18
Business Address
DOMINIQUE WILSON CNM
1170 N ESTRELLA PKWY STE A107
GOODYEAR, AZ 85338-9276
Phone number: 623-263-0105
Mailing Address
DOMINIQUE WILSON CNM
1170 N ESTRELLA PKWY STE A107
GOODYEAR, AZ 85338-9276
Phone number: 623-263-0105
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